Unrestricted ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

SINAMICS G120

Unrestricted ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

EN 61800-3

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 31/8/2016

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

Unrestricted ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3211-1PC22-2AL0 PM240-2 PT-FSC-A-1/3AC-200V-5,5KW POWER MODULE

6SL3211-1PC22-2UL0 PM240-2 PT-FSC-U-1/3AC-200V-5,5KW POWER MODULE

6SL3211-1PC22-8AL0 PM240-2 PT-FSC-A-1/3AC-200V-7,5KW POWER MODULE

6SL3211-1PC22-8UL0 PM240-2 PT-FSC-U-1/3AC-200V-7,5KW POWER MODULE

Appendix

TPT_RPT_6.1.4 6.1.10 MAINS IMMUNITY CHECKS PM240-2 FSB 400V 5.5KW UF A5E32054050A_001

TPT_RPT_6.1.4 6.1.10 MAINS IMMUNITY CHECKS PM240-2 FSB 400V 7.5KW UF A5E32054050A_001

TPT_RPT_6.3.1 CONDUCTED EMISSIONS PM240-2 FSB 400V 5.5KW C2 A5E32054050A_001

TPT_RPT_6.3.1 CONDUCTED EMISSIONS PM240-2 FSB 400V 7.5KW C2 A5E32054050A_001

TPT_RPT_6.3.1 CONDUCTED EMISSIONS PM240-2 FSB 400V 7.5KW UF Class B A5E32054050A_001

TPT_RPT_6.4 RADIATED EMISSIONS PM240-2 FSB 400V 5.5KW C2 A5E32054050A_001

TPT_RPT_6.4 RADIATED EMISSIONS PM240-2 FSB 400V 7.5KW C2 A5E32054050A_001

TPT_RPT_6.4 RADIATED EMISSIONS PM240-2 FSB 400V 7.5KW C2 PT A5E32054050A_001

TPT_RPT_9.3 FAST TRANSIENT BURSTS (CE and SAFETY) PM240-2 FSB 400V 5.5KW UF A5E32054050A_001

TPT_RPT_9.3 FAST TRANSIENT BURSTS (CE and SAFETY) PM240-2 FSB 400V 7.5KW C2 A5E32054050A_001

TPT_RPT_9.4.1 SURGE VOLTAGE (AC POWER PORT) (SAFETY) PM240-2 FSB 400V 5.5KW UFA5E32054050A_001

TPT_RPT_9.4.1 SURGE VOLTAGE _AC POWER PORT_ _SAFETY_ PM240-2 FSB 400V 7.5KW C2A5E32054050A_001

TPT_RPT_9.5 CONDUCTED IMMUNITY (CE and SAFETY) PM240-2 FSB 400V 5.5KW C2 A5E32054050A_001

TPT_RPT_9.5 CONDUCTED IMMUNITY _CE and SAFETY_ PM240-2 FSB 400V 7.5KW C2 A5E32054050A_001

TPT_RPT_9.6 MAINS IMMUNITY CHECKS_CE and SAFETY_ PM240-2 FSB 400V 5.5KW UF A5E32054050A_001

TPT_RPT_9.6 MAINS IMMUNITY CHECKS_CE and SAFETY_ PM240-2 FSB 400V 7.5KW UF A5E32054050A_001

TPT_RPT_9.8 ELECTROSTATIC DISCHARGE (ESD)(CE and SAFETY) PM240-2 FSB 400V 5.5KW UFA5E32054050A_001

TPT_RPT_9.8 ELECTROSTATIC DISCHARGE _ESD__CE and SAFETY_ PM240-2 FSB 400V 7.5KW C2A5E32054050A_001

TPT_RPT_9.9 RADIATED IMMUNITY_CE and SAFETY_ PM240-2 FSB 400V 7.5KW C2 A5E32054050A_001

notes No EMC-relevant changes compared to IP20 power modules.

Unrestricted ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

SINAMICS G120

Unrestricted ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

EN 61800-3

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 31/8/2016

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

Unrestricted ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3210-1RE28-8AL0 PM240P-2 FSE 3AC 400V 45kW FILA Power Module

6SL3210-1RE31-1AL0 PM240P-2 FSE 3AC 400V 55kW FILA Power Module

6SL3210-1RE28-8UL0 PM240P-2 FSE 3AC 400V 45kW UFIL Power Module

6SL3210-1RE31-1UL0 PM240P-2 FSE 3AC 400V 55kW UFIL Power Module

6SL3210-1RH25-2AL0 PM240P-2 FSE 3AC 690V 45kW FILA Power Module

6SL3210-1RH26-2AL0 PM240P-2 FSE 3AC 690V 55kW FILA Power Module

6SL3210-1RH25-2UL0 PM240P-2 FSE 3AC 690V 45kW UFIL Power Module

6SL3210-1RH26-2UL0 PM240P-2 FSE 3AC 690V 55kW UFIL Power Module

Appendix

14_018_RT_EMC1_V1

14_019_RT_EMC1_V1

14_030_RT_EMC1_V1

14_032_RT_EMC1_V1

15_046_RT_EMC4_V1

15_046_RT_EMC5_V1

15-E006238-BM-I01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht

16_005_RT_EMC1_V1

Report7476_PM240-2_55kW_unfiltered

notes No relevant hardware changes to corresponding PM240-2 modules.

Unrestricted ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

SINAMICS G120 PM240-2

Unrestricted ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

EN 61800-3

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 17/6/2016

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

Unrestricted ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3210-1RE23-8AL0 PM240P-2 FSD 3AC 400V 18,5kW FILA Power Module

6SL3210-1RE23-8UL0 PM240P-2 FSD 3AC 400V 18,5kW UFIL Power Module

6SL3210-1RE24-5AL0 PM240P-2 FSD 3AC 400V 22kW FILA Power Module

6SL3210-1RE24-5UL0 PM240P-2 FSD 3AC 400V 22kW UFIL Power Module

6SL3210-1RE26-0AL0 PM240P-2 FSD 3AC 400V 30kW FILA Power Module

6SL3210-1RE26-0UL0 PM240P-2 FSD 3AC 400V 30kW UFIL Power Module

6SL3210-1RE27-5AL0 PM240P-2 FSD 3AC 400V 37kW FILA Power Module

6SL3210-1RE27-5UL0 PM240P-2 FSD 3AC 400V 37kW UFIL Power Module

6SL3210-1RH21-4AL0 PM240P-2 FSD 3AC 690V 11kW FILA Power Module

6SL3210-1RH21-4UL0 PM240P-2 FSD 3AC 690V 11kW UFIL Power Module

6SL3210-1RH22-0AL0 PM240P-2 FSD 3AC 690V 15kW FILA Power Module

6SL3210-1RH22-0UL0 PM240P-2 FSD 3AC 690V 15kW UFIL Power Module

6SL3210-1RH22-3AL0 PM240P-2 FSD 3AC 690V 18,5kW FILA Power Module

6SL3210-1RH22-3UL0 PM240P-2 FSD 3AC 690V 18,5kW UFIL Power Module

6SL3210-1RH22-7AL0 PM240P-2 FSD 3AC 690V 22kW FILA Power Module

6SL3210-1RH22-7UL0 PM240P-2 FSD 3AC 690V 22kW UFIL Power Module

6SL3210-1RH23-5AL0 PM240P-2 FSD 3AC 690V 30kW FILA Power Module

6SL3210-1RH23-5UL0 PM240P-2 FSD 3AC 690V 30kW UFIL Power Module

6SL3210-1RH24-2AL0 PM240P-2 FSD 3AC 690V 37kW FILA Power Module

6SL3210-1RH24-2UL0 PM240P-2 FSD 3AC 690V 37kW UFIL Power Module

Appendix

14_023_RT_EMC1_V114_024_RT_EMC1_V114_027_RT_EMC1_V115-E006238-BM-C01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht15-E006238-BM-E01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht15-E006238-BM-F01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht

Notes No relevant hardware changes to corresponding PM240-2 modules.

Unrestricted ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

Sinamics G120P

Unrestricted ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

EN 61800-3

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 03/02/2015

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

Unrestricted ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3210-1NE11-3AG1 PM230 IP20-FSA-A-400V-0,37KWPOWERMODULE

6SL3210-1NE11-3UG1 PM230 IP20-FSA-U-400V-0,37KWPOWERMODULE

6SL3210-1NE11-7AG1 PM230 IP20-FSA-A-400V-0,55KWPOWERMODULE

6SL3210-1NE11-7UG1 PM230 IP20-FSA-U-400V-0,55KWPOWERMODULE

6SL3210-1NE12-2AG1 PM230 IP20-FSA-A-400V-0,75KWPOWERMODULE

6SL3210-1NE12-2UG1 PM230 IP20-FSA-U-400V-0,75KWPOWERMODULE

6SL3210-1NE13-1AG1 PM230 IP20-FSA-A-400V-1,1KWPOWERMODULE

6SL3210-1NE13-1UG1 PM230 IP20-FSA-U-400V-1,1KWPOWERMODULE

6SL3210-1NE14-1AG1 PM230 IP20-FSA-A-400V-1,5KWPOWERMODULE

6SL3210-1NE14-1UG1 PM230 IP20-FSA-U-400V-1,5KWPOWERMODULE

6SL3210-1NE15-8AG1 PM230 IP20-FSA-A-400V-2,2KWPOWERMODULE

6SL3210-1NE15-8UG1 PM230 IP20-FSA-U-400V-2,2KWPOWERMODULE

6SL3210-1NE17-7AG1 PM230 IP20-FSA-A-400V-3KWPOWERMODULE

6SL3210-1NE17-7UG1 PM230 IP20-FSA-U-400V-3KWPOWERMODULE

6SL3211-1NE17-7AG1 PM230 IP20-PT-FSA-A-400V-3KWPOWERMODULE

6SL3211-1NE17-7UG1 PM230 IP20-PT-FSA-U-400V-3KWPOWERMODULE

6SL3210-1NE21-0AG1 PM230 IP20-FSB-A-400V-4KWPOWERMODULE

6SL3210-1NE21-0UG1 PM230 IP20-FSB-U-400V-4KWPOWERMODULE

Unrestricted ACMA form – C02 Page 4 of 3 Siemens Ltd – July - 2014

6SL3210-1NE21-3AG1 PM230 IP20-FSB-A-400V-5,5 KWPOWERMODULE

6SL3210-1NE21-3UG1 PM230 IP20-FSB-U-400V-5,5 KWPOWERMODULE

6SL3210-1NE21-8AG1 PM230 IP20-FSB-A-400V-7,5 KWPOWERMODULE

6SL3210-1NE21-8UG1 PM230 IP20-FSB-U-400V-7,5 KWPOWERMODULE

6SL3211-1NE21-8AG1 PM230 IP20-PT-FSB-A-400V-7,5KWPOWERMODULE

6SL3211-1NE21-8UG1 PM230 IP20-PT-FSB-U-400V-7,5KWPOWERMODULE

6SL3210-1NE22-6AG1 PM230 IP20-FSC-A-400V-11KWPOWERMODULE

6SL3210-1NE22-6UG1 PM230 IP20-FSC-U-400V-11KWPOWERMODULE

6SL3210-1NE23-2AG1 PM230 IP20-FSC-A-400V-15KWPOWERMODULE

6SL3210-1NE23-2UG1 PM230 IP20-FSC-U-400V-15KWPOWERMODULE

6SL3210-1NE23-8AG1 PM230 IP20-FSC-A-400V-18,5KWPOWERMODULE

6SL3210-1NE23-8UG1 PM230 IP20-FSC-U-400V-18,5KWPOWERMODULE

6SL3211-1NE23-8AG1 PM230 IP20-PT-FSC-A-400V-18,5KWPOWERMODULE

6SL3211-1NE23-8UG1 PM230 IP20-PT-FSC-U-400V-18,5KWPOWERMODULE

6SL3223-0DE13-7AG1 PM230 IP55-FSA-A-400V-0,37KWPOWERMODULE

6SL3223-0DE13-7BG1 PM230 IP55-FSA-B-400V-0,37KWPOWERMODULE

6SL3223-0DE15-5AG1 PM230 IP55-FSA-A-400V-0,55KWPOWERMODULE

6SL3223-0DE15-5BG1 PM230 IP55-FSA-B-400V-0,55KWPOWERMODULE

6SL3223-0DE17-5AG1 PM230 IP55-FSA-A-400V-0,75KWPOWERMODULE

Unrestricted ACMA form – C02 Page 5 of 3 Siemens Ltd – July - 2014

6SL3223-0DE17-5BG1 PM230 IP55-FSA-B-400V-0,75KWPOWERMODULE

6SL3223-0DE21-1AG1 PM230 IP55-FSA-A-400V-1,1KWPOWERMODULE

6SL3223-0DE21-1BG1 PM230 IP55-FSA-B-400V-1,1KWPOWERMODULE

6SL3223-0DE21-5AG1 PM230 IP55-FSA-A-400V-1,5KWPOWERMODULE

6SL3223-0DE21-5BG1 PM230 IP55-FSA-B-400V-1,5KWPOWERMODULE

6SL3223-0DE22-2AG1 PM230 IP55-FSA-A-400V-2,2KWPOWERMODULE

6SL3223-0DE22-2BG1 PM230 IP55-FSA-B-400V-2,2KWPOWERMODULE

6SL3223-0DE23-0AG1 PM230 IP55-FSA-A-400V-3KWPOWERMODULE

6SL3223-0DE23-0BG1 PM230 IP55-FSA-B-400V-3KWPOWERMODULE

6SL3223-0DE24-0AG1 PM230 IP55-FSB-A-400V-4KWPOWERMODULE

6SL3223-0DE24-0BG1 PM230 IP55-FSB-B-400V-4KWPOWERMODULE

6SL3223-0DE25-5AG1 PM230 IP55-FSB-A-400V-5,5KWPOWERMODULE

6SL3223-0DE25-5BG1 PM230 IP55-FSB-B-400V-5,5KWPOWERMODULE

6SL3223-0DE27-5AG1 PM230 IP55-FSB-A-400V-7,5KWPOWERMODULE

6SL3223-0DE27-5BG1 PM230 IP55-FSB-B-400V-7,5KWPOWERMODULE

6SL3223-0DE31-1AG1 PM230 IP55-FSC-A-400V-11KWPOWERMODULE

6SL3223-0DE31-1BG1 PM230 IP55-FSC-B-400V-11KWPOWERMODULE

6SL3223-0DE31-5AG1 PM230 IP55-FSC-A-400V-15KWPOWERMODULE

6SL3223-0DE31-5BG1 PM230 IP55-FSC-B-400V-15KWPOWERMODULE

Unrestricted ACMA form – C02 Page 6 of 3 Siemens Ltd – July - 2014

6SL3223-0DE31-8AG1 PM230 IP55-FSC-A-400V-18,5KWPOWERMODULE

Appendix

TPT_RPT_9.3 FAST TRANSIENT BURSTS (CE and SI) PM230 FSA IP20 A5E03409435A

TPT_RPT_9.3 FAST TRANSIENT BURSTS (CE and SI) PM230 FSB IP20 A5E03409435A

TPT_RPT_9.3 FAST TRANSIENT BURSTS (CE and SI) PM230 FSC IP20 A5E03409435A

TPT_RPT_9.4.1 SURGE VOLTAGE (AC POWER PORT) (CE and SI) PM230 FSA IP20A5E03409435A

TPT_RPT_9.4.1 SURGE VOLTAGE (AC POWER PORT) (CE and SI) PM230 FSB IP20A5E03409435A

TPT_RPT_9.4.1 SURGE VOLTAGE (AC POWER PORT) (CE and SI) PM230 FSC IP20A5E03409435A

TPT_RPT_9.4.3 SURGE VOLTAGE (SIGNAL IO)(CE and SI) PM230 FSA IP20 A5E03409435A

TPT_RPT_9.4.3 SURGE VOLTAGE (SIGNAL IO)(CE and SI) PM230 FSB IP20 A5E03409435A

TPT_RPT_9.4.3 SURGE VOLTAGE (SIGNAL IO)(CE and SI) PM230 FSC IP20 A5E03409435A

TPT_RPT_9.5 CONDUCTED RF IMMUNITY (CE and SI) PM230 FSA IP55 A5E33959368A

TPT_RPT_9.5 CONDUCTED RF IMMUNITY (CE and SI) PM230 FSB IP55 A5E33959368A

TPT_RPT_9.5 CONDUCTED RF IMMUNITY (CE and SI) PM230 FSC IP55 A5E33959368A

TPT_RPT_9.6 MAINS IMMUNITY CHECKS(CE and SI) PM230 FSA IP20 A5E03409435A

TPT_RPT_9.6 MAINS IMMUNITY CHECKS(CE and SI) PM230 FSB IP20 A5E03409435A

TPT_RPT_9.6 MAINS IMMUNITY CHECKS(CE and SI) PM230 FSC IP20 A5E03409435A

TPT_RPT_9.8 ELECTROSTATIC DISCHARGE (CE and SI) PM230 FSA IP20 A5E03409435A

TPT_RPT_9.8 ELECTROSTATIC DISCHARGE (CE and SI) PM230 FSB IP20 A5E03409435A

TPT_RPT_9.8 ELECTROSTATIC DISCHARGE (CE and SI) PM230 FSC IP20 A5E03409435A

TPT_RPT_9.9 RADIATED IMMUNITY (SI) PM230 FSA IP55 A5E33959368A

TPT_RPT_9.9 RADIATED IMMUNITY (SI) PM230 FSB IP55 A5E33959368A

TPT_RPT_9.9 RADIATED IMMUNITY (SI) PM230 FSC IP55 A5E33959368A

Unrestricted ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

Siemens SINAMICS G120 PM240-2 FSF

Page 1 of 3

Unrestricted ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

C-Tick No. V6 / 06.05

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 03/02/2015

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

Page 2 of 3

Unrestricted ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3210-1PE31-5AL0 PM240-2 FSF 3AC 400V 75 FILA Power Module

6SL3210-1PE31-8AL0 PM240-2 FSF 3AC 400V 90 FILA Power Module

6SL3210-1PE32-1AL0 PM240-2 FSF 3AC 400V 110 FILA Power Module

6SL3210-1PE32-5AL0 PM240-2 FSF 3AC 400V 132 FILA Power Module

6SL3210-1PH28-0AL0 PM240-2 FSE 3AC 690V 75 FILA Power Module

6SL3210-1PH31-0AL0 PM240-2 FSF 3AC 690V 90 FILA Power Module

6SL3210-1PH31-2AL0 PM240-2 FSF 3AC 690V 110 FILA Power Module

6SL3210-1PH31-4AL0 PM240-2 FSF 3AC 690V 132 FILA Power Module

6SL3210-1PC31-3UL0 PM240-2 FSF 3AC 200V 37 UFLT Power Module

6SL3210-1PC31-8UL0 PM240-2 FSF 3AC 200V 55 UFLT Power Module

Appendix

14_020_RT_EMC1_V1

14_021_RT_EMC1_V1

14_022_RT_EMC1_V1

15_002_RT_EMC1_V1

15_003_RT_EMC1_V1

15_004_RT_EMC1_V1

15_005_RT_EMC1_V1

15_006_RT_EMC1_V1

15_007_RT_EMC1_V1

15-E006536-BM-A02 SINAMICS G120 PM240-2 FSF 400V 90kW_CE-Bericht

15-E006536-BM-B02 SINAMICS G120 PM240-2 FSF 400V 132kW_CE-Bericht

15-E006536-BM-C02 SINAMICS G120 PM240-2 FSF 400V 90kW_CE-Bericht

15-E006536-BM-D02 SINAMICS G120 PM240-2 FSF 690V 132kW_CE-Bericht

Page 3 of 3

ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

Siemens SINAMICS G120 PM240-2

ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

C-Tick No. V6 / 06.05

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 12/02/2015

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3210-1PC24-2UL0 PM240-2 FSD 3AC 200V 11 UFLT Power Module

6SL3210-1PC25-4UL0 PM240-2 FSD 3AC 200V 15 UFLT Power Module

6SL3210-1PC26-8UL0 PM240-2 FSD 3AC 200V 18,5 UFLT Power Module

6SL3210-1PC28-0UL0 PM240-2 FSE 3AC 200V 22 UFLT Power Module

6SL3210-1PC31-1UL0 PM240-2 FSE 3AC 200V 30 UFLT Power Module

6SL3210-1PE23-8AL0 PM240-2 FSD 3AC 400V 18,5 FILA Power Module

6SL3210-1PE23-8UL0 PM240-2 FSD 3AC 400V 18,5 UFLT Power Module

6SL3210-1PE24-5AL0 PM240-2 FSD 3AC 400V 22 FILA Power Module

6SL3210-1PE24-5UL0 PM240-2 FSD 3AC 400V 22 UFLT Power Module

6SL3210-1PE26-0AL0 PM240-2 FSD 3AC 400V 30 FILA Power Module

6SL3210-1PE26-0UL0 PM240-2 FSD 3AC 400V 30 UFLT Power Module

6SL3210-1PE27-5AL0 PM240-2 FSD 3AC 400V 37 FILA Power Module

6SL3210-1PE27-5UL0 PM240-2 FSD 3AC 400V 37 UFLT Power Module

6SL3210-1PE28-8AL0 PM240-2 FSE 3AC 400V 45 FILA Power Module

6SL3210-1PE28-8UL0 PM240-2 FSE 3AC 400V 45 UFLT Power Module

6SL3210-1PE31-1AL0 PM240-2 FSE 3AC 400V 55 FILA Power Module

6SL3210-1PE31-1UL0 PM240-2 FSE 3AC 400V 55 UFLT Power Module

6SL3210-1PH21-4AL0 PM240-2 FSD 3AC 690V 11 FILA Power Module

6SL3210-1PH21-4UL0 PM240-2 FSD 3AC 690V 11 UFLT Power Module

6SL3210-1PH22-0AL0 PM240-2 FSD 3AC 690V 15 FILA Power Module

6SL3210-1PH22-0UL0 PM240-2 FSD 3AC 690V 15 UFLT Power Module

6SL3210-1PH22-3AL0 PM240-2 FSD 3AC 690V 18,5 FILA Power Module

6SL3210-1PH22-3UL0 PM240-2 FSD 3AC 690V 18,5 UFLT Power Module

6SL3210-1PH22-7AL0 PM240-2 FSD 3AC 690V 22 FILA Power Module

6SL3210-1PH22-7UL0 PM240-2 FSD 3AC 690V 22 UFLT Power Module

6SL3210-1PH23-5AL0 PM240-2 FSD 3AC 690V 30 FILA Power Module

6SL3210-1PH23-5UL0 PM240-2 FSD 3AC 690V 30 UFLT Power Module

6SL3210-1PH24-2AL0 PM240-2 FSD 3AC 690V 37 FILA Power Module

ACMA form – C02 Page 4 of 3 Siemens Ltd – July - 2014

6SL3210-1PH24-2UL0 PM240-2 FSD 3AC 690V 37 UFLT Power Module

6SL3210-1PH25-2AL0 PM240-2 FSD 3AC 690V 45 FILA Power Module

6SL3210-1PH25-2UL0 PM240-2 FSD 3AC 690V 45 UFLT Power Module

6SL3210-1PH26-2AL0 PM240-2 FSE 3AC 690V 55 FILA Power Module

6SL3210-1PH26-2UL0 PM240-2 FSE 3AC 690V 55 UFLT Power Module

Notes: Test for 400V devices are representative for 200V variants also.

Appendix

14_023_RT_EMC1_V114_024_RT_EMC1_V114_027_RT_EMC1_V114_029_RT_EMC1_V114_031_RT_EMC1_V115-E006238-BM-C01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht15-E006238-BM-D01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht15-E006238-BM-E01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht15-E006238-BM-F01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht15-E006238-BM-G01 SINAMICS G120 PM240-2 Projekt PR_729_CE-Bericht

ACMA form – C02 Page 1 of 3 Siemens Ltd – July - 2014

Supplier’s declaration of conformityFor compliance levels 1, 2 and 3 in Australia

As required by the following Notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992;

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling – Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992 and

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of the

Telecommunications Act 1997.

Instructions for completion

> Do not return this form to the ACMA. This completed form must be retained by the supplier as part of the documentation requiredfor the compliance records and must be made available for inspection by the ACMA when requested.

Supplier’s details (manufacturer, importer or authorised agent)

Company Name (OR INDIVIDUAL)

SIEMENS LTD

Street Address

885 Mountain Highway

Bayswater

3153

ACMA supplier code number

(issued by the ACMA prior to 1 March 2013)

N474

OR

ABN

Not required as per ACMA directive

Product details

Product description – brand name, type, model, lot, batch or serial number (if available)

Siemens Sinamics G120 PM230

ACMA form – C02 Page 2 of 3 Siemens Ltd – July - 2014

Compliance

The above mentioned product complies with the requirements of the relevant ACMA Standards made under the Radiocommunications Act 1992and the Telecommunications Act 1997. These Standards are referenced in notices made under section 182 of the Radiocommunications Actand 407 of the Telecommunications Act.

Evidence of compliance is demonstrated by test reports to the following applicable standards.

Applicable standards

Standard title, number and, if applicable, number of the test report

C-Tick No. V6 / 06.05

DeclarationI hereby declare that the contents of this form are true and correct, that the product mentioned above complies with the relevant above mentioned standards and all

products supplied under this declaration will be identical to the product identified above.

Note: Under section 137.1 of the Criminal Code Act 1995, it is an offence to knowingly provide false or misleading information to a Commonwealth entity.

Penalty: 12 months imprisonment

SIGNATURE OF SUPPLIER OR AGENT POSITION IN ORGANISATION: Product Manager

PRINT NAME Paul Sutton DATE 7/11/14

The Privacy Act 1988 (Cth) (the Privacy Act) imposes obligations on the ACMA in relation to the collection, security, quality, access, use anddisclosure of personal information. These obligations are detailed in the Australian Privacy Principles.

The ACMA may only collect personal information if it is reasonably necessary for, or directly related to, one or more of the ACMA’s functions oractivities.

The purpose of the collection of the personal information in this online form is to ensure the supplier is identified in the ‘Declaration ofconformity’. This information is required under the following notices:

> Radiocommunications Devices (Compliance Labelling) Notice 2003 made under section 182 of the Radiocommunications Act 1992

> Radiocommunications Labelling (Electromagnetic Compatibility) Notice 2008 made under section 182 of the RadiocommunicationsAct 1992

> Radiocommunications (Compliance Labelling—Electromagnetic Radiation) Notice 2003 made under section 182 of theRadiocommunications Act 1992

> Telecommunications Labelling (Customer Equipment and Customer Cabling) Notice 2001 made under section 407 of theTelecommunications Act 1997.

If you do not provide the information, a compliance label is not able to be applied.

Further information on the Privacy Act and the ACMA’s Privacy Policy is available at www.acma.gov.au/privacypolicy. The Privacy Policycontains details about how you may access personal information about you that is held by the ACMA, and seek the correction of suchinformation. It also explains how you may complain about a breach of the Privacy Act and how we will deal with such a complaint.

Should you have any questions in this regard, please contact the ACMA’s privacy contact officer on telephone on 1800 226 667 or by email atprivacy@acma.gov.au.

ACMA form – C02 Page 3 of 3 Siemens Ltd – July - 2014

Product(s)

cat. no. (MLFB) type / designation description

6SL3223-0DE13-7AA1 PM230 IP55 Fil A FSA 370W Power Modul

6SL3223-0DE15-5AA1 PM230 IP55 Fil A FSA 550W Power Modul

6SL3223-0DE17-5AA1 PM230 IP55 Fil A FSA 750W Power Modul

6SL3223-0DE21-1AA1 PM230 IP55 Fil A FSA 1,1kW Power Modul

6SL3223-0DE21-5AA1 PM230 IP55 Fil A FSA 1,5kW Power Modul

6SL3223-0DE22-2AA1 PM230 IP55 Fil A FSA 2,2kW Power Modul

6SL3223-0DE23-0AA1 PM230 IP55 Fil A FSA 3kW Power Modul

6SL3223-0DE24-0AA1 PM230 IP55 Fil A FSB 4kW Power Modul

6SL3223-0DE25-5AA1 PM230 IP55 Fil A FSB 5,5kW Power Modul

6SL3223-0DE27-5AA1 PM230 IP55 Fil A FSB 7,5kW Power Modul

6SL3223-0DE31-1AA1 PM230 IP55 Fil A FSC 11kW Power Modul

6SL3223-0DE31-5AA1 PM230 IP55 Fil A FSC 15kW Power Modul

6SL3223-0DE31-8AA1 PM230 IP55 Fil A FSC 18,5kW Power Modul

6SL3223-0DE13-7BA1 PM230 IP55 Fil B FSA 370W Power Modul

6SL3223-0DE15-5BA1 PM230 IP55 Fil B FSA 550W Power Modul

6SL3223-0DE17-5BA1 PM230 IP55 Fil B FSA 750W Power Modul

6SL3223-0DE21-1BA1 PM230 IP55 Fil B FSA 1,1kW Power Modul

6SL3223-0DE21-5BA1 PM230 IP55 Fil B FSA 1,5kW Power Modul

6SL3223-0DE22-2BA1 PM230 IP55 Fil B FSA 2,2kW Power Modul

6SL3223-0DE23-0BA1 PM230 IP55 Fil B FSA 3kW Power Modul

6SL3223-0DE24-0BA1 PM230 IP55 Fil B FSB 4kW Power Modul

6SL3223-0DE25-5BA1 PM230 IP55 Fil B FSB 5,5kW Power Modul

6SL3223-0DE27-5BA1 PM230 IP55 Fil B FSB 7,5kW Power Modul

6SL3223-0DE31-1BA1 PM230 IP55 Fil B FSC 11kW Power Modul

6SL3223-0DE31-5BA1 PM230 IP55 Fil B FSC 15kW Power Modul

ACMA form – C02 Page 4 of 3 Siemens Ltd – July - 2014

Appendix

EXT_TPT_EMC_PM230_IP55_A5E33959368A_AA

TPT_RPT_6.2.2 RADIATED IMMUNITY PM230 IP55 C2 FSA 3kW A5E33959368A_AA

TPT_RPT_6.2.2 RADIATED IMMUNITY PM230 IP55 C2 FSB 7.5kW A5E33959368A_AA

TPT_RPT_6.2.2 RADIATED IMMUNITY PM230 IP55 C2 FSC 18.5kW A5E33959368A_AA

TPT_RPT_6.4 RADIATED EMISSIONS PM230 IP55 C2 FSA 3kW A5E33959368A_AA

TPT_RPT_6.4 RADIATED EMISSIONS PM230 IP55 C2 FSB 7.5kW A5E33959368A_AA

TPT_RPT_6.4 RADIATED EMISSIONS PM230 IP55 C2 FSC 18.5kW A5E33959368A_AA